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Minimally Invasive Endoscopic Neurosurgery—a Survey

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Minimally Invasive Neurosurgery II

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 61))

Summary

In 1989 we introduced “endoscopic stereotaxy” as a new operative procedure into neurosurgery. This technique was first scheduled to optimize stereotactic biopsy. In its further development it proved to be effective for other indications. We choose the term “Minimal Invasive (Endoscopic) Neurosurgery (MIEN)” for these interventions. Minimal invasive endoscopic techniques are applied preferably for diagnostic and therapeutic interventions on preformed or pathological cavities of the central nervous system. The indications are

  • endoscopic-stereotactic biopsy of space-occupying lesions,

  • ventriculoscopy and endoscopic ventriculostomy in diagnosis and treatment of hydrocephalus,

  • endoscopic evacuation of cystic space occupying lesions,

  • endoscopic evacuation of intracerebral haematoma,

  • endoscopic evacuation of septated chronic subdural haematoma,

  • endoscopic evacuation of subacute or chronic brain abscesses,

  • endocavitary syringostomy.

Our results with minimal invasive endoscopic interventions for different indications are encouraging when compared to conventional microsurgical techniques. We have performed more than 300 minimal invasive endoscopic interventions. The mortality rate was below 1%, the operative morbidity was below 2%.

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References

  1. Aschoff A, Kunze S (1993) 100 years syrinx-surgery—a review. Compiled by E. Donauer. Acta Neurochir (Wien) 123: 157–159

    Article  CAS  Google Scholar 

  2. Auer LM, Holzer P, Heppner R (1988) Endoscopic neurosurgery. Acta Neurochir (Wien) 90: 1–14

    Article  CAS  Google Scholar 

  3. Auer LM, Deinsberger W, Niederkorn K, et al (1989) Endoscopic surgery versus medical treatment for spontaneous intracerebral hematoma: a randomized study. J Neurosurg 70: 530–535

    Article  PubMed  CAS  Google Scholar 

  4. Backlund EO (1971) A new instrument for stereotactic brain tumour biopsy. Acta Chir Scand 137: 825–827

    PubMed  CAS  Google Scholar 

  5. Bauer BL, Hellwig D (1992) Minimally invasive neurosurgery I. Acta Neurochir (Wien) [Suppl] 54

    Google Scholar 

  6. Bauer BL, Hellwig D (1994) Current Endoneurosurgery. In: Bauer BL et al (eds) Advances in neurosurgery, Vol 22. Springer, Berlin Heidelberg New York Tokyo, pp 113–120

    Google Scholar 

  7. Bauer BL, Hellwig D (1994) Intracerebral and Intraspinal Endoscopy. In: Schmideck HH, Sweet WH (eds) Operative neurosurgical techniques, 3rd Ed. Saunders, Philadelphia, in press

    Google Scholar 

  8. Bauer BL, Hellwig D, Sweet WH, Schmideck HH (1994) The management of intracranial arachnoid, suprasellar and rathke′s cleft cysts. In: Schmideck HH, Sweet WH (eds) Operative neurosurgical techniques, 3rd Ed. Saunders, Philadelphia, in press

    Google Scholar 

  9. Blomberg R (1985) A method for epiduroscopy and spinaloscopy. Presentation of preliminary results. Anesth Analg 66: 177–180

    Article  Google Scholar 

  10. Broggi G, Franzine A, Peluchetti D, et al (1974) Transcallosal third ventriculochiasmatic cisternostomy: a new approach to hydrocephalus. Surg Neurol 2: 109–114

    Google Scholar 

  11. Broseta J, Gonzalez-Darder J, Barcia-Salorio JL (1982) Stereotactic evacuation of intracerebral hematomas. Appl Neurophysiol 45: 443–498

    PubMed  CAS  Google Scholar 

  12. Bruce JN, Stein BM (1992) Infratentorial approach to pinealis tumors. In: Wilson CB et al (eds) Neurosurgical procedures. Personal approaches to classic operations. Williams and Wilkins, Philadelphia, pp 63–75

    Google Scholar 

  13. Burman MS (1931) Myeloscopy or the direct visualization of the spinal cord. J Bone Joint Surg 13: 695

    Google Scholar 

  14. Caemaert J, Abdullah J (1993) Diagnostic and therapeutic stereotactic cerebral endoscopy. Acta Neurochir (Wien) 124: 11–13

    Article  CAS  Google Scholar 

  15. Cohen AR (1993) Endoscopic laser third ventriculostomy. N Engl J Med 328: 552

    Article  PubMed  CAS  Google Scholar 

  16. Cohen AR (1993) Endoscopic ventricular surgery. Pediatr Neurosurg 19: 127–134

    Article  PubMed  CAS  Google Scholar 

  17. Dandy WE (1992) Cerebral ventriculoscopy. Bull John Hop¬kins Hospital 33: 189

    Google Scholar 

  18. Fukushima T, Ishijima, Hirakama, et al (1973) Ventriculofiberscope: a new technique for endoscopic diagnosis and operation. J Neurosurg 38: 251–256

    Article  PubMed  CAS  Google Scholar 

  19. Gilsbach J, Eggert HR, Harders A (1980) Externe geschlossene Drainagebehandlung des chronischen Subduralhämatoms nach Bohrlochtrepanation. Unfallchirurgie 3: 183–186

    Article  Google Scholar 

  20. Griffith HB (1975) Technique of fontanelle and persutural ventriculoscopy and endoscopic ventricular surgery in infants. Childs Brain 1: 359–363

    PubMed  CAS  Google Scholar 

  21. Griffith HB (1986) Endoneurosurgery: endoscopic intracranial surgery. In: Symon L et al (eds) Advances and technical standards in neurosurgery, Vol 14. Springer, Wien New York, pp 2–24

    Google Scholar 

  22. Grunert P, Ungersböck K, Bohl J, et al (1994) Results of 200 intracranial stereotactic biopsies. Neurosurg Rev 17: 59–66

    Article  PubMed  CAS  Google Scholar 

  23. Guiot G, Rougerie J, Fourestier M, et al (1963) Une nouvelle technique endoscopique: explorations endoscopiques intracraniennes. Presse Med: 1225–1228

    Google Scholar 

  24. Guiot G (1973) Ventriculocisternostomy for stenosis of the aequeduct of Silvius. Acta Neurochir (Wien) 28: 274–289

    Article  Google Scholar 

  25. Harders A, Eggert HR, Weigel K (1982) Behandlung des chronischen Subduralhämatomes mit externer geschlossener Drainage. Neurochirurgia 25: 147–152

    PubMed  CAS  Google Scholar 

  26. Hasdemir MG, Ebeling U (1993) CT-guided stereotactic aspiration and treatment of brain abscesses. An experience with 24 cases. Acta Neurochir (Wien) 125: 58–63

    Article  CAS  Google Scholar 

  27. Heilman CB, Cohen AR (1991) Endoscopic ventricular fenestration using a “saline torch”. J Neurosurg 74: 224–229

    Article  PubMed  CAS  Google Scholar 

  28. Hellwig D, Eggers F, Bauer BL (1990) Endoscopic stereotaxis. Preliminary results. Stereotact Funct Neurosurg 54, 55: 418

    Article  Google Scholar 

  29. Hellwig D, Bauer BL (1991) Endoscopic procedures in stereotactic neurosurgery. Acta Neurochir (Wien) [Suppl] 52: 30–32

    CAS  Google Scholar 

  30. Hellwig D, Bauer BL, List-Hellwig E, et al (1991) Stereotactic endoscopic procedures on processes of the cranial midline. Acta Neurochir [Suppl] 53: 23–32

    CAS  Google Scholar 

  31. Hellwig D, Bauer BL (1992) Minimally invasive neurosurgery by means of ultrathin endoscopes. Acta Neurochir (Wien) [Suppl] 54: 63–68

    Article  CAS  Google Scholar 

  32. Hellwig D, Bauer BL (1993) Diagnostik und Therapie intrakranieller Tumoren. Endoskopische Stereotaxic ein neues Operationsverfahren. TW Neurologie Psychiatrie 7: 347–356

    Google Scholar 

  33. Hellwig D, Riegel T, Bauer BL, et al (1994) Endoneurosurgery of skull base processes. The frontal transventricular approach. In: Samii M (ed) Skull base surgery. Karger, Basel, in press

    Google Scholar 

  34. Hoffmann HJ, Harwood-Nash D, Gilday DL (1980) Percutaneous third ventriculostomy in the management of noncommunicating hydrocephalus. Neurosurgery 7: 313–321

    Article  Google Scholar 

  35. Hokana M, Tanizaki K, Masruo K, et al (1993) Indications and limitations for CT-guided stereotaxic surgery of hypertensive intracerebral haemorrhage, based on the analysis of postoperative complications and poor ability of daily living in 158 cases. Acta Neurochir (Wien) 125: 27–33

    Article  Google Scholar 

  36. Hüwel NM, Perneczky A, Urban V (1992) Neuroendoscopic technique for operative treatment of septated syringomyelia. In: Bauer BL, Hellwig D (eds) MIN I. Acta Neurochir (Wien) [Suppl] 54: 59–62

    Google Scholar 

  37. Hüwel NM, Perneczky A, Urban V (1993) Neuro-endoscopic techniques in operative treatment of syringomyelia. Acta Neurochir (Wien) 123: 216

    Google Scholar 

  38. Itakura T, Komai N, Nakai E, et al (1988) Stereotactic evacuation of hypertensive intracerebral hematoma using plasminogen activator. Surgical technique and long-term results. In: Suzuki J (ed) Advances in surgery for cerebral stroke. Springer, Berlin Heidelberg New York Tokyo, pp 443–448

    Google Scholar 

  39. Jack CR Jr, Kelly PJ (1989) Stereotactic third ventriculostomy: assessment of patency with MR imagery. AJNR 10: 515–522

    PubMed  Google Scholar 

  40. Jones RFC, Stening WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26: 86–92

    Article  PubMed  CAS  Google Scholar 

  41. Jones RFC, Teo C, Stening WA, et al (1992) Neuroendoscopic third ventriculostomy. In: Crone KR, Manwaring KH (eds) Neuroendoscopy, Vol 1. Liebert, New York, pp 91–96

    Google Scholar 

  42. Kanno T, Sanno H, Shinomiya Y, et al (1984) Role of surgery in hypertensive intracerebral hematoma. J Neurosurg 61: 1091–1099

    Article  PubMed  CAS  Google Scholar 

  43. Kelly PJ (1991) Stereotactic third ventriculostomy in patients with nontumoral adolescent-adult onset of aqueductal stenosis and symptomatic hydrocephalus. J Neurosurg 75: 865–873

    Article  PubMed  CAS  Google Scholar 

  44. King JEJ, Turney F (1936) Brain abscess. Evolution of the methods of treatment. Ann Surg 103: 647

    Article  PubMed  CAS  Google Scholar 

  45. Komai W, Doi E, Moriwaki, et al (1986) Stereotactic evacuation of hypertensive thalamic hematoma using plasminogen activator (urokinase). Neurol Surg 14: 249–256

    CAS  Google Scholar 

  46. L′Espinasse VL (1992) In: Davis L (ed) Hydrocephalus and spina bifida. Principles of Neurological Surgery. Lea and Febinger, Philadelphia, pp 438–447

    Google Scholar 

  47. Lewis AI, Crone K, Taha J, et al (1994) Surgical resection of third ventricle colloid cysts. Preliminary results comparing transcallosal microsurgery with endoscopy. J Neurosurg 81: 174–178

    Article  PubMed  CAS  Google Scholar 

  48. Manwaring KH (1992) Endoscopic Ventricular fenestration. In: Crone KR, Manwaring KH (eds) Neuroendoscopy, Vol 1. Liebert, New York, pp 79–89

    Google Scholar 

  49. Markwalder T (1981) Chronic subdural hematoma: a review. J Neurosurg 54: 637–645

    Article  PubMed  CAS  Google Scholar 

  50. Mathiessen T, Grane P, Lindquist C, et al (1993) High recurrence rate following aspiration of colloid cysts in the third ventricle. J Neurosurg 78: 748–752

    Article  Google Scholar 

  51. Mayer HM, Brock M (1989) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  52. McKissock W, Richardson A, Taylor GM, et al (1961) Primary intracerebral haemorrhage. A controlled trial of surgical and conservative treatment in 180 unselected cases. Lancet 11: 221–226

    Article  Google Scholar 

  53. Mennel HD, Roβberg C, Lorenz H, et al (1989) Reliability of simple cytological methods in brain tumour biopsy diangosis, Neurochirurgia 32: 129–132

    PubMed  CAS  Google Scholar 

  54. Mennel HD, Hellwig D, Bauer BL (1994) Ergebnisse und Zuverlässigkeit stereotaktisch und endoskopisch gewonnener Probebiopsate bei Hirntumoren. Zentralbl Neurochir 55: 79–90

    PubMed  CAS  Google Scholar 

  55. Mixter WJ (1923) Ventriculoscopy and puncture of the third ventricle. Boston Med Suurg J 188: 277–278

    Google Scholar 

  56. Mohadjer M (1993) Computed tomographic—stereotactic evacuation and fibrinolysis of hypertensive intracranial hematoma. Fibrinolysis 2: 43–48

    Article  Google Scholar 

  57. Mundinger F, Birg W (1984) Stereotactic biopsy fo intracranial processes. Acta Neurochir (Wien) [Suppl] 33: 219–224

    Google Scholar 

  58. Ogata M, Ishikawa T, Horide R, et al (1974) Encephaloscope: basic study. J Neurosurg 22: 288–291

    Google Scholar 

  59. Ostertag CH B (1988) Reliability of stereotactic brain tumour biopsy. In: Lunsford LD (ed) Modern stereotactic neurosurgery. Nijhoff, Boston, pp 129–136

    Google Scholar 

  60. Ostertag CH B (1990) Surgical techniques in the management of colloid cysts of the third ventricle—the stereotactic endoscopic approach. In: Symon L et al (eds) Advances and technical standards in neurosurgery, Vol 17. Springer, Wien New York, pp 143–149

    Google Scholar 

  61. Pool JL (1942) Myeloscopy: intrathecal endoscopy. Surgery 11: 169–182

    Google Scholar 

  62. Putnam T (1934) Treatment of hydrocephalus by coagulation of the choroid plexus: description of a new instrment and preliminary report of results. N Engl J Med 22: 1373–1376

    Article  Google Scholar 

  63. Riegel T, Hellwig D, Bauer BL, et al (1994) Endoscopic anatomy of the third ventricle. In: Bauer BL, et al (eds) Advances in neurosurgery, Vol 22. Springer, Berlin Heidelberg New York Tokyo, pp 121–125

    Google Scholar 

  64. Robinson RG (1984) Chronic subdural hematoma: surgical management in 133 patients. J Neurosurg 61: 263–268

    Article  PubMed  CAS  Google Scholar 

  65. Rosenbluth PRB, Arias B, Quartetti EV (1962) Current management of subdural hematoma. JAMA 179: 115–118

    Google Scholar 

  66. Saint-Rose C (1992) Third ventriculostomy. In: Crone KR, Manwaring KH (eds) Neuroendoscopy, Vol 1. Liebert, New York, pp 47–62

    Google Scholar 

  67. Sayers NP, Kosnik EJ (1976) Percutaneous third ventriculostomy. Experience and technique. Childs Brain 2: 24–30

    PubMed  CAS  Google Scholar 

  68. Scarff JE (1970) The treatment of nonobstructive (communicating) hydrocephalus by endoscopic cauterization of the choroid plexus. J Neurosurg 33: 1–18

    Article  PubMed  CAS  Google Scholar 

  69. Shucart WA, Stein BM (1978) Transcallosal approach to the anterior ventricle system. Neurosurgery 3: 339–343

    Article  PubMed  CAS  Google Scholar 

  70. Stapleton SR, Bell BA, Uttly D (1993) Stereotactic aspiration of brain abscesses. Is this the treatment of choice? Acta Neurochir (Wien) 121: 15–19

    Article  CAS  Google Scholar 

  71. Stein BM (1971) The infratentorial supracerebellar approach to pineal lesions. J Neurosurg 35: 197–202

    Article  PubMed  CAS  Google Scholar 

  72. Symon L, Pell M (1990) Surgical techniques in management of colloid cysts of the third ventricle. The transcortical approach. In: Symon L et al (eds) Advances and technical standards in neurosurgery, Vol 17. Springer, Wien New York, pp 122–130

    Google Scholar 

  73. Thomas DGT, Nouby RM (1989) Experiences in 300 cases of CT-directed stereotactic surgery for lesion biopsy and aspiration of hematoma. Br J Neurosurg 3: 321–326

    Article  PubMed  CAS  Google Scholar 

  74. Voges J, Schroder R, Trerues H, et al (1993) CT-guided and computer assisted stereotactic biopsy. Technique, results, indications. Acta Neurochir (Wien) 125: 142–149

    Article  CAS  Google Scholar 

  75. Wickham J, Fitzpatrick J (1990) Minimally invasive surgery. Br J Surg 77: 721

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Philipps University Marburg, Germany

    B. L. Bauer & D. Hellwig

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  1. B. L. Bauer
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  2. D. Hellwig
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Editors and Affiliations

  1. Department of Neurosurgery, Philipps-University Marburg, Federal Republic of Germany

    Bernhard Ludwig Bauer M.D.  & Dieter Hellwig M.D.  & 

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© 1994 Springer-Verlag

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Bauer, B.L., Hellwig, D. (1994). Minimally Invasive Endoscopic Neurosurgery—a Survey. In: Bauer, B.L., Hellwig, D. (eds) Minimally Invasive Neurosurgery II. Acta Neurochirurgica Supplement, vol 61. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6908-7_1

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  • DOI: https://doi.org/10.1007/978-3-7091-6908-7_1

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7431-9

  • Online ISBN: 978-3-7091-6908-7

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